Most Relevant Information
Provider Data
| NPI Number: | 1003382409 |
| Provider Name: | THOMAS C DAVIDSON CDP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | CP00000646 |
Most Important Dates
| Enumeration Date: | 10/23/2018 |
| Last Updated: | 10/16/2023 |
Provider Practice Location
12 S 8TH ST
YAKIMA
WA
989013020
Practice Location Phone/Fax
| Phone: | 5094544143 |
| Fax: |
Provider Mailing Location
12 S 8TH ST
YAKIMA
WA
989013020
Provider Mailing Phone/Fax
| Phone: | 5094544143 |
| Fax: |